Why is this medication prescribed?

Plaquenil, also known by its generic name hydroxychloroquine, is a medication that is primarily prescribed for the treatment and prevention of malaria. It is also used in the management of certain autoimmune diseases, particularly rheumatoid arthritis and systemic lupus erythematosus.

• Malaria Treatment and Prevention: Plaquenil is often used to treat and prevent malaria, a parasitic infection transmitted by mosquitoes in certain regions.
• Rheumatoid Arthritis: Plaquenil is prescribed to manage symptoms of rheumatoid arthritis, a chronic inflammatory disorder affecting the joints.
• Systemic Lupus Erythematosus (SLE): Plaquenil is used in the treatment of systemic lupus erythematosus, an autoimmune disease that can affect various organs and tissues in the body.

How should this medicine be used?

Here’s how Plaquenil is typically used:

• Dosage: The dosage of Plaquenil can vary based on the condition being treated. It is essential to follow the prescribed dosage provided by your healthcare provider.
• Administration: Plaquenil is usually taken orally, with or without food. It’s important to take it exactly as directed by your doctor.
• Duration: The duration of treatment can also vary, and it’s crucial to complete the entire course as prescribed, even if symptoms improve before completion.
• Regular Monitoring: If you are using Plaquenil for an extended period, your healthcare provider may recommend regular eye examinations, as long-term use has been associated with potential eye issues.
• Missed Dose: If you miss a dose, take it as soon as you remember. However, if it’s almost time for the next dose, skip the missed dose and continue with the regular schedule. Do not double the dose to make up for a missed one.
• Caution: Inform your healthcare provider about any other medications or supplements you are taking, as certain drug interactions may occur.

It’s important to note that Plaquenil should only be taken under the supervision and guidance of a healthcare professional. Always consult with your doctor for personalized advice and instructions based on your specific health condition. Additionally, be aware that new information may have emerged last update, so it’s advisable to consult with a healthcare professional for the latest guidance.

Other uses for this medicine

Some of these off-label uses include:

• Lyme Disease: Plaquenil may be used in combination with antibiotics for the treatment of Lyme disease, particularly in cases where arthritis symptoms persist.
• Q Fever: Plaquenil may be considered as part of the treatment for Q fever, a bacterial infection caused by Coxiella burnetii.
• Sjögren’s Syndrome: Plaquenil is sometimes prescribed to manage symptoms associated with Sjögren’s syndrome, an autoimmune disorder affecting moisture-producing glands.
• Porphyria Cutanea Tarda (PCT): Plaquenil may be used to manage symptoms of porphyria cutanea tarda, a rare skin disorder.

What special precautions should I follow?

Special precautions and considerations regarding the use of Plaquenil include:

• Eye Examinations: Long-term use of Plaquenil has been associated with potential retinal toxicity. Regular eye examinations, including visual field tests, are recommended, especially for individuals on prolonged treatment. Inform your eye doctor that you are taking Plaquenil.
• Medical History: Inform your healthcare provider about your complete medical history, especially if you have a history of liver disease, kidney disease, alcohol abuse, or certain skin disorders.
• Pregnancy and Breastfeeding: If you are pregnant or planning to become pregnant, or if you are breastfeeding, discuss the risks and benefits of using Plaquenil with your healthcare provider. The drug can pass into breast milk, and its safety during pregnancy is still being studied.
• Allergies: Inform your healthcare provider about any allergies you may have, especially if you are allergic to hydroxychloroquine or related drugs like chloroquine.
• Interactions: Plaquenil may interact with other medications. Inform your healthcare provider about all the prescription and over-the-counter medications, vitamins, and herbal supplements you are taking.
• Alcohol: Limit alcohol consumption while taking Plaquenil, as alcohol may increase the risk of liver problems.
• Dosing and Administration: Follow your healthcare provider’s instructions regarding dosing and administration. Do not exceed the prescribed dose.
• Monitoring: Regular monitoring of blood tests may be necessary to check for any changes in blood cell counts, liver function, and other parameters.

It’s crucial to follow your healthcare provider’s advice and attend scheduled check-ups while taking Plaquenil. This information is not exhaustive, and individual circumstances may vary. Always consult with your healthcare provider for personalized guidance based on your health condition and any updates in medical knowledge.

What special dietary instructions should I follow?

There are generally no specific dietary restrictions associated with Plaquenil. However, it’s important to maintain a balanced and healthy diet as part of overall well-being, especially if you are managing a chronic condition. If you have specific concerns or dietary restrictions, discuss them with your healthcare provider or a registered dietitian.

What should I do if I forget a dose?

If you forget to take a dose of Plaquenil, follow these general guidelines:

• Take it as soon as you remember: If it’s not almost time for your next scheduled dose, take the missed dose as soon as you remember.
• Skip the missed dose if it’s nearly time for the next one: If it’s almost time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not double up on doses to make up for a missed one.
• Consult your healthcare provider: If you are unsure about what to do or if you have missed multiple doses, consult your healthcare provider for guidance.

What side effects can this medication cause?

Hydroxychloroquine, sold under the brand name Plaquenil, is a medication commonly used to treat conditions such as rheumatoid arthritis, lupus, and malaria. Like any medication, Plaquenil can cause side effects. It’s important to note that not everyone will experience these side effects, and some people may experience only mild effects. Common side effects of Plaquenil include:

• Gastrointestinal issues: Nausea, vomiting, diarrhea, and abdominal pain are some of the common gastrointestinal side effects.
• Skin reactions: Skin rashes and itching can occur in some individuals.
• Mood and mental changes: Hydroxychloroquine has been associated with mood swings, anxiety, and even more severe psychiatric effects in rare cases.
• Eye problems: While Plaquenil is generally well-tolerated, it can cause eye-related side effects, especially with prolonged use. This can include retinopathy, a condition that can lead to vision impairment. Regular eye examinations are typically recommended for those taking this medication long-term.
• Muscle weakness or nerve damage: In rare cases, hydroxychloroquine has been associated with muscle weakness or nerve damage.
• Low blood sugar levels: This medication can lower blood sugar levels, which may be a concern for individuals with diabetes.
• Cardiac effects: There have been reports of hydroxychloroquine causing cardiac effects, including changes in heart rhythm. This is more likely to occur in individuals with pre-existing heart conditions.

It’s crucial to notify your healthcare provider if you experience any side effects while taking Plaquenil. Additionally, it’s important to inform your doctor of your medical history, any other medications you may be taking, and any pre-existing conditions you have before starting this medication. This helps the healthcare provider assess the potential risks and benefits for your specific situation.

Keep in mind that this information is not exhaustive, and the specific side effects can vary from person to person. Always consult with a healthcare professional for personalized advice and guidance regarding your medications.

What should I know about storage and disposal of this medication?

Storage and Disposal of Plaquenil:

• Storage:
  • Store Plaquenil at room temperature, away from moisture and direct sunlight.
  • Keep the medication in its original container, tightly closed, and out of reach of children.
• Disposal:
  • Dispose of unused or expired medications properly.
  • Do not flush Plaquenil down the toilet or pour it into a drain unless instructed to do so.
  • Check with your local pharmacy or healthcare provider about proper disposal methods, such as community take-back programs or medication drop-off sites.

In case of emergency/overdose

If you suspect an overdose or experience severe symptoms, seek emergency medical attention or contact your local poison control center immediately. Symptoms of an overdose may include:

• Seizures
• Drowsiness
• Vision changes
• Loss of consciousness
• Irregular heartbeats

What other information should I know?

• Regular Monitoring: Your healthcare provider may recommend regular check-ups and monitoring, including blood tests and eye examinations, to assess the medication’s effects and detect any potential side effects.
• Medical Alert Bracelet/ID: If you have certain medical conditions or allergies, it may be advisable to wear a medical alert bracelet or carry an identification card indicating that you are taking Plaquenil.
• Avoid Alcohol: Limit alcohol consumption while taking Plaquenil, as alcohol may increase the risk of liver problems.
• Inform Healthcare Providers: Inform all healthcare providers involved in your care, including dentists and surgeons, that you are taking Plaquenil. This is important for coordination of care and management of potential drug interactions.
• Travel Precautions: If you are traveling to areas where malaria is present, take the necessary precautions to avoid mosquito bites, in addition to taking Plaquenil as prescribed.
• Inform About All Medications: Make sure your healthcare provider is aware of all the medications, supplements, and herbal products you are taking to prevent potential drug interactions.

Always follow your healthcare provider’s instructions, and if you have any concerns or questions about Plaquenil, do not hesitate to discuss them with your healthcare team. Individual responses to medications can vary, so it’s crucial to communicate openly with your healthcare provider for personalized guidance.